Connected for Warmth Bill Support Terms and Conditions Consent Form"*" indicates required fields1. Contact DetailsTitle*Forename:*Surname:*House Number:House Name:Street:Town/City:Postcode:*Terms I apply for help with energy bills for my home under the Connected for Warmth Bill Support Programme. I have read and agree to the terms set out in the applicable link below. View Connected for Warmth Bill Support Programme Terms HereSignature Your NameYour NameYour NameYour NameDate This information will be transferred to AgilityEco and E Vouchers for the sole purpose of providing energy bill support. It will be held in accordance with the General Data Protection Regulation (GDPR) 2018 and any successor legislation to the GDPR or the Data Protection Act 1998. Bill support is provided directly by Affordable Warmth Solutions – admin@awscic.org.uk